Edwards, Shannon

Edwards, Shannon is an sole proprietor health care provider with primary practice located at 17830 Arrow Blvd , Fontana CA 92335-4037. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Edwards, Shannon can be contacted via phone (909) 356-6485.

Contact Information

Primary practice address
17830 Arrow Blvd Fontana CA 92335-4037
Phone: (909) 356-6485
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1568872026
LBN Legal business name Edwards, Shannon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2014
Last updated Jun 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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